Diagnostic value of postexercise systolic blood pressure response for detecting coronary artery disease in patients with or without hypertension

Tsuda, Makoto; Hatano, Kiyoshi; Hayashi, Hiroshi; Yokota, Mitsuhiro; Hirai, Makoto; Saito, Hidehiko

doi:10.1016/0002-8703(93)90163-4

Cited by 36 publications

(24 citation statements)

References 27 publications

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“…Several reports emphasise the lower specificity of exercise ECG stress test in patients with elevated blood pressure when compared to normotensive subjects. 2,4 Tsuda et al 4 have shown that specificity of ECG stress test was significantly higher in normotensive patients than in hypertensive patients (67% vs 52%). Similar observations emphasising the higher specificity of exercise ECG in patients with…”

Section: Discussionmentioning

confidence: 99%

“…Because of the high rate of false-positive results the positive predictive value of electrocardiographic (ECG) exercise test is low. [2][3][4][5] For the last 10 years stress echocardiography has been developed as the more specific method of diagnosing coronary artery disease than exercise ECG. Efficacy of stress echocardiography has been proved in small groups of hypertensive patients.…”

Section: Introductionmentioning

confidence: 99%

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Advantages of exercise echocardiography in comparison to dobutamine echocardiography in the diagnosis of coronary artery disease in hypertensive subjects

et al. 2001

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Objective: The aim of the study was to compare the efficacy and safety of two stress echocardiography methods, exercise and dobutamine, in the diagnosis of coronary artery disease in hypertensive patients with angina. Patients and methods: A total of 197 treated hypertensive patients, age 53 ؎ 9 years (65 women) with no history of myocardial infarction referred for coronary angiography were prospectively investigated with exercise electrocardiography (ECG), exercise and dobutamine echocardiography. Results: Sensitivity of the exercise ECG, exercise echocardiography and dobutamine echocardiography did not differ (77%, 82% and 75%). Negative predictive value of exercise ECG was significantly lower than exercise echocardiography (64% vs 79%, P Ͻ 0.01). Specificity and positive predictive value of exercise ECG were markedly lower than exercise and dobutamine echocar-

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Advantages of exercise echocardiography in comparison to dobutamine echocardiography in the diagnosis of coronary artery disease in hypertensive subjects

et al. 2001

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“…Diagnostic usefulness of the postexercise SBP response in patients with essential hypertension has been reported [10] . For example, exercise-induced ST segment depression in patients with left ventricular hypertrophy (LVH) is not always a reliable indicator of CAD, but the use of an SBP ratio, which was defi ned as the ratio of SBP after 3 min of recovery to SBP at peak exercise, improved the reliability of treadmill exercise testing [11] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of Coronary Artery Disease in Hemodialysis Patients with Delayed Systolic Blood Pressure Response after Exercise Testing

et al. 2005

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Background: We evaluated usefulness of the postexercise systolic blood pressure (SBP) response for detecting coronary artery disease (CAD) in hemodialysis patients. Methods: A treadmill exercise testing was done, and the SBP response was measured in 44 hemodialysis patients (30 men, 14 women; age 41 to 81 years). The postexercise SBP response was defined as the ratio of SBP after 3 minutes of recovery to SBP at peak exercise. Results: The SBP ratio of the 25 subjects with coronary artery stenosis (1.01 ± 0.13) was significantly greater (p <0.01) than 19 subjects without coronary artery stenosis (0.83 ± 0.10). An SBP ratio greater than 0.92 identified CAD with higher sensitivity, specificity, and accuracy than did the conventional ST-segment depression criterion (76 vs. 56%, 90 vs. 53%, and 82 vs. 55%, respectively). Conclusion: Determination of the SBP ratio is a clinically useful, noninvasive method for accurately detecting CAD in hemodialysis patients.

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“…The magnitude of ST depression during ETT itself was often not good enough for predicting the severity of coronary artery disease. On the other hand, an abnormal postexercise systolic blood pressure (SBP) ratio during recovery was associated with the presence of CAD [1][2][3][4].…”

mentioning

confidence: 99%

“…Reduced BP drop after exercise identifies a subgroup with higher cardiovascular risk [5]. However, information about who are at the high-risk for angiographic CAD or severe CAD in patients with delayed SBP recovery after ETT is still unknown [1][2][3][4].…”

mentioning

confidence: 99%

Predictors for coronary artery disease in patients with paradoxical systolic blood pressure elevation during recovery after graded exercise

Hsu

Chu²,

Su³

et al. 2007

International Journal of Cardiology

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Diagnostic value of postexercise systolic blood pressure response for detecting coronary artery disease in patients with or without hypertension

Cited by 36 publications

References 27 publications

Advantages of exercise echocardiography in comparison to dobutamine echocardiography in the diagnosis of coronary artery disease in hypertensive subjects

Advantages of exercise echocardiography in comparison to dobutamine echocardiography in the diagnosis of coronary artery disease in hypertensive subjects

Assessment of Coronary Artery Disease in Hemodialysis Patients with Delayed Systolic Blood Pressure Response after Exercise Testing

Predictors for coronary artery disease in patients with paradoxical systolic blood pressure elevation during recovery after graded exercise

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